Online research in philosophy

Nursing as a profession has a social mandate to contribute to the good of society through knowledge-based practice. Knowledge is built upon theories, and theories, together with their philosophical bases and disciplinary goals, are the guiding frameworks for practice. This article explores a philosophical perspective of nursing's social mandate, the disciplinary goals for the good of the individual and society, and one approach for translating knowledge into practice through the use of a middle-range theory. It is anticipated that the integration of the philosophical perspective and model into nursing practice will strengthen the philosophy, disciplinary goal, theory, and practice links and expand knowledge within the discipline. With the focus on humanization, we propose that nursing knowledge for social good will embrace a synthesis of the individual and the common good. This approach converges vital and agency needs described by Hamilton and the primacy of maintaining the heritage of the good within the human species as outlined by Maritain. Further, by embedding knowledge development in a changing social and health care context, nursing focuses on the goals of clinical reasoning and action. McCubbin and Patterson's Double ABCX Model of Family Adaptation was used as an example of a theory that can guide practice at the community and global level. Using the theory-practice link as a foundation, the Double ABCX model provides practising nurses with one approach to meet the needs of individuals and society. The integration of theory into nursing practice provides a guide to achieve nursing's disciplinary goals of promoting health and preventing illness across the globe. When nursing goals are directed at the synthesis of the good of the individual and society, nursing's social and moral mandate may be achieved.

Abstract This paper introduces the controversy surrounding active voluntary euthanasia and describes the legal position on euthanasia and assisted suicide in the UK. Findings from studies of the nurses' attitudes to euthanasia from the national and international literature are reviewed. There are acknowledged difficulties in carrying out research into attitudes to euthanasia and hence the review of findings from the published studies is followed by a methodological review. This methodological review examines the research design and data collection methods used in the published studies, problems with understanding definitions of euthanasia and the measurement of attitudes. The paper concludes with a discussion of how research in this area may influence nursing practice.

Over the last three decades, social theory has become an increasingly important sub-discipline within sociology. Social theory has attempted to elucidate the philosophical basis of sociology by defining the nature of social reality. According to social theory, society consists of objective institutions, structure, on the one hand, and individuals, agency on the other it promotes human social relations, insisting that in every instance social reality consists of these relations. The book begins by defining and criticizing contemporary social theory. It analyses the work of Giddens, Bourdieu, Foucault, Bhaskar and Habermas to demonstrate that their commitment to structure and agency is unsustainable. The book then proceeds to recover a sociology which focuses on social relations by reference to the works of classical sociology; to Hegel, Marx, Weber and Durkheim. Finally, the book establishes a new 'hermeneutic' paradigm in which social relations are primary. The author argues that sociologists studying the dramatic social transformations which are currently occurring should focus on social relations between humans; they should not attempt to understand contemporary changes in terms of structure and agency.

This article briefly outlines some of the key problems with the way in which the moral realm has traditionally been understood and analysed. I propose two alternative views of what is morally interesting and applicable to nursing practice and I indicate that instability has its upsides. I begin with a moral tale – a 'Good Samaritan' story – which raises fairly usual questions about the nature of morality but also the more philosophically fundamental question about the relationship between subjectivity and moral agency. I then consider this relationship from the perspectives of two twentieth century philosophers: Emmanuel Levinas and Michel Foucault. Levinas' basic point is that the experience of ethical subjectivity is made possible through others: the demand to respond to the existence of others is the basic social structure that precedes individual freedom. If Levinas posits intersubjectivity as a fundamental or primitive feature of the moral realm, Foucault poses an even more basic question: how have moral subjects and relations of obligation been constituted? The aim of ethical inquiry, for Foucault, is to describe the network of discourses, institutions, relations, and practices through which certain kinds of subjects are constituted and constitute themselves, e.g. as a kind of person who can act morally. Finally, I consider some recent research in philosophy of nursing which illustrates how Levinasian and/or Foucauldian perspectives can deepen understanding of nurses' moral practices, specifically, the work of Norwegian public health nurses, Canadian pediatric nurses, and Irish midwives. I suggest that in spite of the instability of morality in general and the particular ethical challenges that face nurses, there are grounds for hope and possible strategies for living in unstable times.

In his recent review of my book, The Structure of Social Theory , Karsten Stueber rejected my criticisms of contemporary social theory. Against my "hermeneutic" sociology which prioritizes human social relations, he advocates a return to a dualistic ontology of structure and agency. This reply addresses Stueber’s criticisms to re-affirm the ontology of social relations against ontological dualism. Key Words: structure • agency • hermeneutics • social relations.

pt. 1. Modernity, sociology and the structure/agency debate -- pt. 2. Critical theory; structuration theory; critical realism; and identity theory -- pt. 3. Structure/agency theories applied -- pt. 4. Network theory, globalisation theory, hegemony -- pt. 5. Conclusion/continuation.

In this article a discussion of the phenomenon of wellness and its relevance to contemporary nursing practice is developed. Drawing on phenomenology, the research literature and the author's own wellness research, an exposition of the concept of wellness is presented. It is proposed that the experience of being well is lived as a continuity of time and that it involves both a taking-for-granted of the body and containment of the horizon of concern. The state of actually being well is also clarified and contrasted with the more common understanding of wellness as an optimal or future state. This discussion has significance for nursing knowledge development, in terms of our understanding of the experience of wellness and illness. It also has implications for how nurses approach their practice, particularly in the area of health promotion.

The concept of social structure is crucial in social analysis, yet sociologists' use of the term is often ambiguous and misleading. Contributing to the ambiguity is a tendency to imply the meaning of "social structure" either by opposing it to agency or by contrasting it to culture, thus reducing "structure" to pure constraint and suggesting that "culture" is not structured. Even more damaging is the tendency to conflate these two contrasts. To add to the confusion, these contrasts are often mapped inappropriately onto other dichotomies prevalent in social theorizing, including material versus ideal, external versus internal, static versus active, and objective versus subjective, to produce a conceptual prism in which structure, agency, and culture are all poorly understood. This article attempts to disentangle these concepts from the aforementioned system of contrasts, to specify the connections between structure and agency, and to make a case for the inclusion of culture in the sociological conception of social structure.

s argument for the claim that social relations have to be conceived of as primary and main ontological category for an adequate analysis of the social realm. The author shows that King’s arguments do not succeed in fully replacing the categories of agency and structure that are pervasive in contemporary social theory. At most, King succeeds in delineating a neglected area of social theory, something that should be taken into account in addition to structure and agency. Key Words: social ontology • rules • agency • structure • hermeneutics.